Provider Demographics
NPI:1003517806
Name:GLOBAL NEURODIAGNOSTIC SERVICES
Entity Type:Organization
Organization Name:GLOBAL NEURODIAGNOSTIC SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:KYLER
Authorized Official - Middle Name:
Authorized Official - Last Name:FOLSE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:337-366-7535
Mailing Address - Street 1:3526 LAKEVIEW PKWY # B202
Mailing Address - Street 2:
Mailing Address - City:ROWLETT
Mailing Address - State:TX
Mailing Address - Zip Code:75088-4176
Mailing Address - Country:US
Mailing Address - Phone:844-868-1971
Mailing Address - Fax:469-453-3374
Practice Address - Street 1:108 CASCADE RD
Practice Address - Street 2:
Practice Address - City:RAYNE
Practice Address - State:LA
Practice Address - Zip Code:70578-2543
Practice Address - Country:US
Practice Address - Phone:448-868-1971
Practice Address - Fax:469-453-3374
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-03-17
Last Update Date:2024-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes204R00000XAllopathic & Osteopathic PhysiciansElectrodiagnostic MedicineGroup - Multi-Specialty
No246ZE0600XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, OtherElectroneurodiagnosticGroup - Multi-Specialty